| NPI | 1043220494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL HELTON Owner Operator 615-217-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 33960) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |